Deshpande, Smita V

Deshpande, Smita V is an individual health care provider with primary practice located at 777 Glades Rd # Ss 8W240 , Boca Raton FL 33431-6424. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Deshpande, Smita V can be contacted via phone (610) 969-3390.

Contact Information

Primary practice address
777 Glades Rd # Ss 8W240 Boca Raton FL 33431-6424
Phone: (610) 969-3390
Fax: (610) 969-3393
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME158311 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD039267L Pennsylvania
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X MD039267L Pennsylvania

Profile Details

NPI number 1003806977
LBN Legal business name Deshpande, Smita V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Nov 8th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003806977 NPPES
Other 0050865000 IBC
MEDICAID 0014630700004 IBC
Other P002820 IBC
Other 464569 IBC
Other 03161201 IBC

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